Week 256: Case 2

1. Presented by Peter Illei, M.D. and prepared by Todd Sheridan, M.D.

The patient is a 56-year-old male with an incidental finding of a 7-cm mass in the right lobe of the liver. Core biopsy was performed was diagnosed as adenocarcinoma. PET scan demonstrated significant uptake in this lesion in the inferior aspect of the right lobe of the liver. Following a thyroidectomy for multinodular goiter he received chemotherapy (gemcitabine, Taxotere, and Decadron) resulting in moderate response (tumor size decreased from 7 cm to 5 cm). A partial hepatectomy was performed. During surgery multiple smaller subcapsular nodules were also indentified and submitted for intra operative frozen sections.

The past medical history is notable for prostate cancer (Gleason"s score not known) status post suprapubic prostatectomy, hypertension, diabetes as well as the previously mentioned multinodular goiter.